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Turks and Caicos Islands Ministry of Health and Human Services, in Partnership with PAHO, Launches Training to Improve Cardiovascular and Mental Health Care

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PRESS RELEASE

 

FROM THE MINISTRY OF HEALTH

AND HUMAN SERVICES 

 

 

Providenciales, Turks and Caicos Islands 29th October 2024 – The Ministry of Health and Human Services, in collaboration with the Pan American Health Organization (PAHO) Bahamas Office, has launched a transformative initiative to enhance healthcare across the Turks and Caicos Islands (TCI). This joint training, held from October 21st – 25th, 2024, at the Hamilton Education Foundation in Providenciales, gathered over 30 healthcare professionals from both the public and private sector, including physicians, nurses, pharmacists, nutritionist, representatives from TCI Hospital, representatives from Anguilla, and virtual participants from across the TCI.

The interactive training covered two vital programs: the HEARTS Quality Improvement (QI) initiative and the Mental Health Gap Action Programme (mhGAP). The HEARTS QI initiative, supported by WHO through PAHO, aims to improve cardiovascular care by equipping TCI’s primary healthcare providers with tools for high-quality cardiovascular disease (CVD) management, ultimately enhancing outcomes for heart disease patients. Concurrently, the mhGAP program prepares frontline workers to assess and address mental health needs, an increasingly critical service amid rising mental health challenges worldwide.

The training was facilitated by PAHO advisors Dr. Claudina Cayetano, Dr. Taraleen Malcolm, and Dr. Gloria Giraldo. Medical Officers Dr. Samantha Barrett-Palmer and Dr. Jomo Laidlow from Primary Health Care presented an overview of TCI’s non-communicable diseases (NCDs) status and Turks and Caicos Islands Clinical Pathway. This training was designed to equip healthcare providers to deliver standardized, high-quality care with a strong focus on underserved communities.

Honourable Minister of Health and Human Services, Shaun D Malcom, expressed dedication to strengthening TCI’s healthcare system, emphasizing the ministry’s focus on disease prevention and accessible treatment:

“Our collaboration with PAHO on the HEARTS and mhGAP initiatives is a critical step toward comprehensive, quality care tailored to community needs. By equipping healthcare professionals with the right skills, we are actively improving patient outcomes and building a compassionate and effective health system.”

The HEARTS QI and mhGAP rollout represents a significant step in healthcare in the Caribbean, offering a scalable model for regional public health enhancement.

Through these initiatives, the TCI and PAHO are prioritizing healthcare quality and supporting primary healthcare providers in their mission to improve health outcomes. The Ministry of Health is grateful to PAHO for facilitating this timely joint mission at this critical time.

For further information on the HEARTS initiative, mhGAP, or the Ministry’s work with PAHO, please visit the Ministry of Health’s Facebook page at https://www.facebook.com/tciministryofhealth/.

 

Left to Right – Dr Alicia Malcolm, Director Behavioral Health Services, Dr Claudina Cayetano- PAHO Regional Advisor for Mental Health, Hon. Shaun D Malcolm-Minister of Health and Human Services and Dr Gloria Giraldo PAHO Advisor, Noncommunicable Diseases and Mental Health.

Bahamas News

More Bahamians Accessing HIV, STI Care Through NHI

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NASSAU, Bahamas — More Bahamians are accessing HIV and sexually transmitted infection-related healthcare through National Health Insurance, a trend the NHI Authority says should be viewed positively.

NHIA stressed in an August 6 statement that its 2025 figures measure healthcare utilisation, not newly diagnosed infections. They include beneficiaries screened, treated, monitored or receiving follow-up care, including people diagnosed previously.

“Increased utilisation of these services should be viewed as a positive development,” NHIA said.

The Authority pointed to “greater enrolment and use of NHI, improved access to screening and testing, continued treatment and monitoring of existing conditions, and increased willingness to seek medical care.”

The development comes amid a mixed three-year HIV picture. New diagnoses rose from 130 in 2023 to 156 in 2024, before declining to 142 in 2025.

NHIA said increased utilisation demonstrates that more beneficiaries are accessing needed healthcare and actively managing their health, reinforcing the importance of screening, early diagnosis and continued treatment.

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Health

47,459 MEASLES CASES, 44 DEATHS ACROSS AMERICAS  

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WASHINGTON, D.C. — The Americas has recorded 47,459 confirmed measles cases and 44 deaths in 2026, the region’s highest case count in 22 years, prompting the Pan American Health Organization (PAHO) to urge stronger vaccination, surveillance and rapid outbreak response.

As of July 18, cases were already more than triple the 15,011 recorded during all of 2025. Guatemala, Mexico, the United States and Peru account for 95% of confirmed cases. Guatemala leads with 30,371 cases and 26 deaths, followed by Mexico with 12,255 cases and 17 deaths.

PAHO classifies the regional public health risk as very high, citing active outbreaks, immunity gaps, international travel and populations with inadequate vaccination coverage.

The organization says prevention starts with vaccination. Countries are being urged to achieve and maintain at least 95% coverage with two doses of measles-containing vaccine, particularly protecting children and under-vaccinated communities.

Measles spreads through the air when an infected person breathes, coughs or sneezes. Symptoms can include fever, cough, runny nose, red eyes and a rash.

PAHO is urging health authorities to detect suspected cases early and respond rapidly to stop transmission. Unvaccinated and under-vaccinated people, young children and communities with limited healthcare access face increased risk of severe illness and death.

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Caribbean News

From Pathways to Investment: Tackling the US $6 Billion Food Challenge for the Caribbean

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By Kenroy Roach

The Caribbean’s food systems challenge is fast evolving into a broader development challenge.

Despite decades of policy attention and investment, the region remains one of the most food import-dependent in the world, spending over US$6 billion annually. At the same time, countries continue to grapple with food insecurity, high rates of diet-related non-communicable diseases, climate vulnerability, and exposure to external shocks that can disrupt supply chains and drive up food prices almost overnight.

For Small Island Developing States (SIDS), food security has shifted from an agriculture focus alone, it’s about economic resilience, health, climate resilience and sustainable growth.

Recognizing this reality, Caribbean governments have elevated food systems transformation as a regional priority through the CARICOM 25 x 25 Plus Five Agenda, which seeks to reduce food import dependence while strengthening domestic production, regional trade, and resilience. Across Barbados and the Eastern Caribbean, governments have also developed National Food Systems Pathways that identify the investments, partnerships, and policy reforms needed to transform food systems and accelerate progress toward the Sustainable Development Goals (SDGs).

Yet one challenge has remained persistent: financing.

In the face of high levels of public debt and limited fiscal space, while public investment remains critical, Caribbean governments simply cannot shoulder the financing burden alone. Transforming food systems at scale requires mobilizing far greater private capital, alongside development finance and public resources.

This was the rationale behind the recent convened in Barbados.

The Forum brought together governments, investors, international financial institutions, private sector leaders, regional organizations, and the United Nations around a simple proposition: food systems should be viewed not only as a development priority, but also as an investable asset class.

A distinguishing feature of the innovative gathering was its focus on attracting private investment—particularly private equity, impact investment, and blended finance solutions capable of supporting businesses and infrastructure across food value chains. By helping enterprises access growth capital and connecting investors with scalable opportunities, the initiative sought to unlock financing that complements public investment rather than adding to already constrained public balance sheets.

A key outcome was the launch of a regional Deal Book comprising approximately US$320 million in investment opportunities across seven countries, spanning agriculture, fisheries, agro-processing, logistics, and strategic food systems infrastructure. The Deal Book created a practical bridge between capital seeking opportunities and opportunities seeking capital, while enabling direct engagement between governments, enterprises, and investors.

The results were encouraging.

Across four sector-focused deal rooms, participants explored investment-ready and near-investment-ready opportunities and discussed blended finance private equity, risk-sharing, and partnerships to advance projects toward implementation.

The Forum highlighted a shift in perspective: food systems are now seen as strategic drivers of economic diversification, resilience, competitiveness, and growth. Investments across production, processing, logistics, and distribution can strengthen regional supply chains, create new businesses, generate jobs, and reduce vulnerability to external shocks.

For the United Nations, this experience reinforced an important lesson.

Transforming food systems requires more than the technical expertise of individual agencies. It requires integrated solutions that connect agriculture, nutrition, health, climate resilience, trade, private sector development, and financing.

This is where the Resident Coordinator System plays a critical role.

Across Barbados and the Eastern Caribbean, the Resident Coordinator Office has united UN system capabilities around a common food systems agenda. Working with FAO, WFP, the UN Food Systems Coordination Hub, and other partners, the RCO has helped align policy support, technical expertise, partnerships, and financing with nationally identified priorities.

The Forum demonstrated this integrated approach by convening governments, investors, development finance institutions, private sector actors, and UN agencies around a common objective. It showcased the UN’s comparative advantage as a trusted broker capable of connecting development priorities with investment opportunities.

The Forum’s success will be measured not by dialogue generated, but by investments mobilized, businesses expanded, and progress made toward resilient, competitive Caribbean food systems across the Caribbean.

Its most important outcome may therefore be what comes next.

The work starts now.

Kenroy Roach is Head of the UN Resident Coordinator Office for Barbados and the Eastern Caribbean

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